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Organization

LIFEBRIDGE COMMUNITY PHYSICIANS, INC

Active
Parent organization
LIFEBRIDGE COMMUNITY PHYSICIANS, INC
Other names
Carroll Medical Group
Organization subpart
Yes

Provider details

NPI number
Legal business name
LIFEBRIDGE COMMUNITY PHYSICIANS, INC
Authorized official
MARY R WRIGHT-SISK (DIRECTOR)
(443) 422-9941
Entity
Organization

Contact information

Practice address
4231 N WOODS TRL, HAMPSTEAD, MD 21074-3128
(410) 374-9391
(410) 374-1866
Mailing address
4231 N WOODS TRL, HAMPSTEAD, MD 21074-3128
(410) 374-9391
(410) 374-1866

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD

Other

Enumeration date
07/27/2012
Last updated
08/27/2021
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